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hypoxia. The physician is notified and will most likely prescribe an inhaled bronchodilator. The nurse also prepares for emergency resuscitation if this situation occurs during suctioning. The client will be unable to take deep breaths. There is no information in the question indicating the need to call a code. Test-Taking Strategy: Use the process of elimination, noting the strategic word “next.” Eliminate administration of an inhaled bronchodilator, because this action requires a physician’s prescription. To select from the remaining options, recall the ABCs — airway, breathing, and circulation. This will direct you to the correct option. Review the nursing actions to be taken immediately when a complication occurs during suctioning if you had difficulty with this question. Level of Cognitive Ability: Applying Client Needs: Safe and Effective Care Environment Integrated Process: Nursing Process/Implementation Content Area: Adult Health Reference: Perry, A., & Potter, P. (2010). Clinical nursing skills & techniques (7th ed., p. 681). St. Louis: Mosby. Awarded 1.0 points out of 1.0 possible points.
I.13.ID: 383727408A nurse stops at the scene of an automobile accident. One of the victims is sitting in the driver’s seat, complaining of severe muscle spasms in the neck area. The nurse must first:Awarded 1.0 points out of 1.0 possible points. J.